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CARE AND PREPARATION
FOR PROCEDURES

Recommendations for the user of bone biopsy

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What is it? 

For this procedure, a needle is used to remove a small sample of bone to confirm the diagnosis of a bone disorder, investigate an abnormality, determine the cause of pain or infection, or distinguish a bone tumor from other conditions. 
Instructions before the procedure 
 

Follow the instructions below carefully, the success of the procedure depends largely on your collaboration.
 

  1. The patient must fast for at least 6 hours on the day of the exam, including water. (Hypertensive and/or diabetic patients should take their medications with little water).

  2. If the patient is diabetic, they must comply with 6 hours of fasting without exceeding the indicated time (6 hours).

  3. If the patient takes insulin, on the day of the exam it should not be given.

  4. If you take ASA, ASPIRIN or ASAWIN, you must stop taking them 8 days before the exam.

  5. If you consume or are applied antiplatelet and/or anticoagulant medications such as: Clopidogrel (plavix, Iscover), Warfarin (coumadin), heparin, enoxaparin (fraxiparin), dalteparin (fragmin) you must suspend it before the procedure with the prior authorization of the treating physician.

  6. If the patient is hypertensive, DO NOT suspend the medication for hypertension and have a check-up carried out one week before the procedure at your care center.

  7. The doctor will order coagulation tests PT, TPT, Platelets, Hemoglobin and Hematocrit in the same week of the exam. (These are essential clinical laboratory tests for the procedure). They must have normal values.

  8. Bring results of previous imaging studies, if they have been done (ultrasounds, x-rays, tomographies, magnetic resonances), are essential.

  9. You should also tell your doctor about recent illnesses and other medical conditions.

 

Procedure day

  • You must be accompanied by a person of legal age, with decision-making capacity.
    Please show up 30 minutes before your appointment, to carry out the admission process.

  • General bathroom. You must come in comfortable clothing, without accessories or jewelry or valuables.

Post Procedure Instructions
 

  1. Placing local ice on the biopsy site for 10 to 15 minutes several times in the first 24 hours after the procedure. This helps reduce swelling and bruising which will disappear within the first week. Take medication as directed by your doctor.

  2. Keep the biopsy site covered with a bandage for the first 48 hours after the procedure, then it can be removed

  3. You can shower 24 hours after taking the biopsy, cover the bandage, do not get it wet, keep it clean and dry 

  4. Have absolute rest during the first 6 hours following the procedure. Rest refers to NOT performing heavy physical activities or sudden movements.

  5. You may leave the procedure with a small wound with stitches or medical tape and covered with a bandage, which will put pressure on it.

  6. If there is bleeding at the site, apply light pressure with gauze, compressing for 4 hours after the procedure. 

  7. After the procedure you must continue with your usual medication and diet.

  8. If you have pain, take the medications ordered by the specialist

Warning signs and symptoms

 

In case of profuse bleeding, swelling and dopain, paleness, sweating, dizziness, fainting, fever, or leakage of purulent material or abundant bleeding from the operated area or respiratory distress should be consulted by the emergency room.

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